骨盤部CTにより術前診断しえた閉鎖孔ヘルニアの2例

Abstract

Diagnosis of obturator hernia before surgery is difficult, we report here two patients who were uneventfully operated on after successful diagnosis by CT scannlng of the pelvic cavity. Case 1 : An eighty-one-year-old woman was admitted to our hospital because of left lower abdominal paln. Abdominal X-ray film revealed of formation of niveau and dilatation of the small intestine. CT scanning of the pelvic cavity revealed left obturator hernia. Case 2 : An eighty-two-year-old woman was admitted to our hospital because of vomiting and right lower abdominal paln. Abdominal X-ray film revealed formation of niveau and dilatation of the small intestine. CT scanning of the pelvic cavity revealed right obturator hernia. As shown in these cases, computed tomography is a useful tool for early diagnosis of cryptic cases of incomplete small bowel obstruction. It is concluded that CT scanning of the pelvic cavity should be performed in elderly and thin patients with ileus of unknown etiology.